Martin, M Nicholas

Martin, M Nicholas is an individual health care provider with primary practice located at 4925 Rockwell Rd , Winchester KY 40391-8509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Martin, M Nicholas can be contacted via phone (859) 744-1061.

Contact Information

Primary practice address
4925 Rockwell Rd Winchester KY 40391-8509
Phone: (859) 744-1061
Fax: (859) 744-1062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17782 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24668 Indiana
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 17782 Kentucky

Profile Details

NPI number 1114076593
LBN Legal business name Martin, M Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated May 8th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114076593 NPPES
Other 000000045743 ANTHEM
Other 64177827 ANTHEM
Other 610882170 ANTHEM
MEDICAID 065909137 ANTHEM
Other 5910070 ANTHEM
Other 80031821 ANTHEM

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